Individual
DERRELL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1503 ALCATRAZ AVENUE, BERKELEY, CA 94703
(510) 653-6424
Mailing address
1503 ALCATRAZ AVENUE, BERKELEY, CA 94703-5472
(317) 809-8034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106166
CA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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